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NPI 1154232445

NPI 1154232445 : COLLISION CHIROPRACTORS II : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1154232445
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    Entity Type          |    Organization 
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    Legal Business Name  |    COLLISION CHIROPRACTORS II 
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Dates
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    Enumeration Date     |    09/15/2026
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    Last Update Date     |    09/15/2026
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Provider Practice Location Address
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    Address Line         |    3602 W THOMAS RD STE 4 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85019-4442
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    Country              |    US
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    Telephone            |    602-368-4089
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    Fax                  |    602-334-1026
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Provider Business Mailing Address
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    Address Line         |    3602 W THOMAS RD STE 4 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85019-4442
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    Country              |    US
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    Telephone            |    602-368-4089
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    Fax                  |    602-334-1026
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL  PAPAMATHEAKIS 
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    Credential           |    DC
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    Telephone            |    602-446-2834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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